| NPI | 1437635224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NY 061553) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: NJ 22DI02856200) |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: PA DS041839) | |
| Enumeration Date | 2018-07-14 |
| Last Update Date | 2024-07-23 |